Genuine Queens Jcl Care
NPI 1174971865ActiveOrganization· PACE Provider Organization· San Antonio, TX
PACE Provider Organization in San Antonio, Texas, registered in NPPES in June 2016. The authorized official on file is Lkiendria Trischuan Johnson, Owner.
Overview
| NPI | 1174971865 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 3, 2016 |
| Last updated in NPPES | Jun 3, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| PACE Provider Organization Primary | 251T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other PACE Provider Organization providers in San Antonio
- 1871811596
- 1962780577